Newham PCT Community Dental Services Briefing Session

1. Newham PCTCommunity Dental Services Briefing Session 29 April 2009

2. Agenda for today • Welcome • Market Analysis & the Procurement Process • Overview of next stages in the process • Overview of the Current Service • Commissioning Outcomes & Direction of Travel for the Service • Questions & answers • Tour of the Mobile Dental Surgery vehicle * Individual meetings with providers will not take place today

3. Introductions: • Dr Kate Corlett - Primary Care Medical Director • Jane Lindo - Program Manager, Locality Networks • Lorna Grazette - Dental Development Manager • Mark Abrahams - Procurement & Market Management Consultant (Bethesdapool Procurement Ltd)

4. What you hope to get out of this event • Understanding the current Community Dental Service • Identify next stages • Timetable • Knowledge building for future exercises

5. What Newham PCT hopes to get out of this event To open a dialogue with the providers in the marketplace. Ensure that any approach to market is acceptable to providers. The more engaged bidders are with the process, the more likely the chance of a provider – friendly approach to market.

6. PCTs & Other Public Procurement • Public Procurement is not like other types of procurement ... • Public funds • Often no marketplace (or developing) • Processes to follow • Outcome impacts health of population • Best practice = understand market, engage with market.

7. The purpose of the RFI ... • This is not pre-qualification, or a Tender • It is not mandatory to attend the event. • There is no obligation whatsoever on those that do attend to continue their involvement thereafter. • This event is about the PCT understanding the market. • It is about Providers understanding requirements. • Not attending does not prevent involvement at a later stage. NB: Supply2health doesn’t have a ‘market analysis’ option.

8. Market Analysis Examples: • Duration • Premises • Equipment • Health promotion • Staff • Delivery location • Engaging with key groups...

9. Market Analysis Cycle: ` Initiation Outcomes Inputs Players The Market Barriers Junction

10. Defining Outcomes • What is the PCT trying to achieve • Are there any guidelines for the service • Cost • Access • Speed • Quality • Efficiency • Patient experience ...

11. Inputs • Premises • Healthcare specialist staff • Healthcare general staff • Non healthcare specialist staff • Equipment / technology • Capital investment • Expertise / experience • Management (inc. change management) 

12. Providers • Identify the providers • Geographical split - can providers deliver services in our area? • How ready are providers for bidding • How ready are providers for providing the service

13. Barriers What are the obstacles for providers? • Regulatory barriers • Legal barriers • Financial barriers • level of competition • What are the decision making processes for Providers?

14. Junction • Implement an immediate short term solution. • Go to market next 3-9 months for a short term solution. • Develop the market 2- 3 years. • Achieve some / all of the benefits through service improvement. • Go to market for some elements only.

15. Next Stages / Points to note: • Need some additional information • May need to speak to providers • Summary Analysis • Recommendation to PCT • Start date dependant upon above recommendation • New Supply2health notice may be required.

16. Indicative timetable:

17. Overview of Current Service

18. Locations Three static sites:- • Appleby H/C • Shrewsbury H/C • West Ham Lane Clinic There is also a Mobile Dental Unit

19. Services delivered: Treatment of the vulnerable groups primarily on referral: • Medically compromised • Learning difficulties • Severe behavioural problems • Housebound people • Physical disability (unable to access GDS) • Significant Mental health problems • Children with rampant caries • Significant phobia about dentistry

20. Services delivered (cont’d): • School Screening Programme • Epidemiological Surveys • Oral Health Promotion • Domiciliary care for the housebound • General Anaesthetic list for children through NUHT • Orthodontic Services commissioned from RLH.

21. Questions & answers

22. Commissioning Outcomes & Direction of Travel for the Service Jane Lindo - Program Manager, Locality Networks Lorna Grazette - Dental Development Manager

23. Dental Vision for Newham “By 2020 the dental services in Newham will be as good as the rest of the Country and the oral health of the people of Newham will be as good as that of other Londoners.”

24. “Commissioning to Improve Oral Health” The local Oral Health Strategy reflects the vision set out in Delivering Better Oral Health & World Class Commissioning reduce health inequalities Supporting people to live longer and healthier lifestyles – keeping their teeth for longer! deliver better health and well-being

25. Oral Health Strategy Work streams • Unplanned Access • Specialist Services • Prevention Services • Domiciliary Service (vulnerable or excluded groups) • Oral Health needs of Children

26. NHS dentistry uptake NHS dentistry uptake within Newham PCT has increased from 50.5% to 52.7% in past 2 years. The London average uptake is 51% against an England average of 56% for the same period

27. Key challenge: Newham has the worst dental decay rates for the under 5s in London comparable only to the highest decay rates in North East England

28. Oral Health Objectives • Educate – publicise the importance of Oral health • Participate – in all major community events to raise awareness • Deliver enhanced preventative dental care programme for under 5’s • Provide oral health education to high risk groups • Raise awareness – Oral Cancer

29. Questions & answers Thank you for attending

30. Produced on behalf of NHS Newham by: Mark Abrahams Procurement and Market Management Consultant Bethesdapool procurement Ltd 07830 49 11 53 Mark.abrahams@bethesdapool.co.uk www.bethesdapool.co.uk